|Publication number||US4402685 A|
|Application number||US 06/162,621|
|Publication date||Sep 6, 1983|
|Filing date||Jun 24, 1980|
|Priority date||Jun 30, 1979|
|Also published as||DE2926572A1, DE2926572C2, EP0021446A1, EP0021446B1|
|Publication number||06162621, 162621, US 4402685 A, US 4402685A, US-A-4402685, US4402685 A, US4402685A|
|Inventors||Wolfgang Buhler, Franz W. Brunner, Bodo Schacht|
|Original Assignee||Intermedicat Gmbh|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (12), Referenced by (63), Classifications (20), Legal Events (1)|
|External Links: USPTO, USPTO Assignment, Espacenet|
This invention relates to catheters. More particularly, this invention is concerned with an improved short dividable catheter tube made of synthetic solid polymers.
Flexible catheters are used to conduit fluids to a patient to supply parenteral nourishment or medication. The insertion of the flexible catheter, such as into the vein of a patient, is often effected by use of an auxiliary device, one form of which is a metal tubule. After the metal tubule has made the puncture, the flexible catheter is inserted through the metal tubule into the vein.
An alternative, and safer system, is to use a short catheter made of synthetic polymeric material. This system is often used for short-term blood transfusions or for administering infusion solutions. The short catheter usually consists of a thin-walled polymeric tube having a metal puncturing tubule inside. Both of the elements have extensions, made of polymeric material, for ease of handling or for connecting with other tubes. A short catheter made of polymeric material as described, as compared to a metal tubule, is less likely to be damaged or broken off upon improper or awkward handling.
After the short catheter has been inserted, such as into a vein, the internal metal puncturing tubule is removed, leaving the end of the short catheter in place in the vein. Then, the end of a flexible catheter is inserted through the short catheter into the vein. The short catheter has an enlarged cone-shaped end to facilitate insertion of the flexible catheter. After that is done, the short catheter is withdrawn from the vein and secured to the flexible catheter outside of the patient. Usually the short catheter cannot be slid in a telescoping manner off the end of the flexible catheter because most flexible catheters have a rigid connecting attachment at the end which would prevent such removal of the short catheter.
German Pat. No. 2,104,226 discloses a device as described above for inserting a flexible catheter. The short catheter polymeric tube as therein described has longitudinal tear lines or fracture points and finger grips. When the finger grips are pulled apart, the tube can be ripped open along the tear lines and thereby removed from around the flexible catheter.
The short catheter polymeric tube is about 5 to 10 cm long so the tear lines must run the entire tube length. Obviously, the tear lines must be very exact and have a constant residual wall thickness. Producing such tear lines presents substantial problems, whether they are produced in the tube by injection molding or by machining a preformed polymeric tube having a uniform wall thickness. The initial tearing and subsequent ripping behavior over the full catheter length substantially depends on the tube residual wall thickness at the tear line. If it is made uneven or non-uniform, the tearing may terminate unintentionally before the catheter end and thus prevent division of the catheter over its entire length.
An object of the invention is to provide a short catheter tube of synthetic polymeric material which is readily dividable longitudinally by tearing but which avoids many, or all, of the shortcomings associated with previous short catheters to be torn longitudinally. A further object is to provide a dividable short catheter tube which eliminates much of the expenditure previously involved in manufacturing or machining tear lines therein.
According to the invention, short catheter tubes, readily dividable longitudinally by tearing, are provided having a composition comprising a base polymer modified by a second polymer intermixed with, or inserted into, the base polymer. Such catheter tubes can be readily and inexpensively manufactured by extrusion. Particularly useful tubes can have an outer diameter of up to 4 mm and a wall thickness of about 0.2 to 0.4 mm.
Broadly, the tube modifying polymer content can comprise about 0.5 to about 40 weight percent, and desirably about 5 to 25 weight percent, of the base polymer weight (not the weight of the mixture). The particular amount most suitable for specific polymers used, such as in a mixture of the polymers, can be easily determined by preparing compositions having different amounts of polymers.
It is generally desirable to use a base polymer which is incompatible with the modifying polymer.
Because of their chemical inertness in contact with human blood or tissue, the following mixtures of base polymer and modifying polymer are particularly useful:
______________________________________Base Polymer Modifying Polymer______________________________________Polyethylene PolypropylenePolypropylene Polyethylene______________________________________
With polypropylene as the base polymer, a suitable mixture can contain a weight ratio of about 95 to 75 weight percent of polypropylene and 5 to 25 weight percent of polyethylene having a density between 0.915 to 9.965 g/cm3 as modifying polymer. When polyethylene is the base polymer and polypropylene is the modifying polymer, the ratio can also be within such amounts. Although these polymer mixtures are particularly suitable because of their chemical inertness in contact with human blood and tissue, mixtures of other base polymers and modifying polymers can be prepared which, when extruded into capillary size tubes, have the same or similar tearing and dividing properties. Representative of other polymer mixtures which can be used are:
______________________________________Base Polymer Modifying Polymer______________________________________Polypropylene Polyacrylate homo and copolymersPolypropylene Polymethacrylate homo and copolymersPolypropylene Polystyrene homo and copolymersPolypropylene Polymethylpentene-1Polypropylene Polybutylene-1Polypropylene Polyethylene copolymersPolyethylene Polypropylene copolymersPolyethylene Polybutylene-1Polyethylene Polymethylpentene-1Polyethylene Polyacrylate homo and copolymersPolyethylene Polymethacrylate homo and copolymersPolyethylene Polystyrene homo and copolymersPolyvinylchloride Polyethylene homo and copolymersPolyvinylchloride Polypropylene homo and copolymersPolyvinylchloride Polymethylpentene-1Polyvinylchloride Polybutylene-1______________________________________
The invention will be described further in conjunction with the attached drawings, in which:
FIG. 1 shows a short catheter tube formed by extrusion of a mixture of base polymer and modifying polymer;
FIG. 2 shows another embodiment of short catheter provided by the invention;
FIG. 3 is a sectional view taken along the line 3--3 of FIG. 2;
FIG. 4 is a sectional view taken along the line 4--4 of FIG. 3; and
FIG. 5 is an isometric view of the catheter, shown in FIGS. 2 to 4, being torn longitudinally and thereby divided.
The short catheter 10 shown in FIG. 1 has a tubular body 11 with a tapered front end 12 and enlarged conical back end 13. It has a longitudinal axial hole which is not shown but which is sized to receive a metal puncturing tubule. The short catheter 10 is readily formed by first extruding a mixture of a base polymer and a modifying polymer to form tube 11. Tapered front end 12 can then be formed and enlarged conical end 13 added. Any suitable mixture of base polymer and modifying polymer described above can be used to make the short catheter.
FIGS. 2 to 4 illustrate a second embodiment of dividable short catheter provided by the invention. The short catheter 20 has a tubular body 22, a tapered front end 24 and an enlarged conical attachment end 26. The catheter tubular body 22 is formed by simultaneously extruding a base polymer to form the two semicircular walls 28 which are joined to two strips 30 of simultaneously extruding modifying polymer. The two strips 30 are located 180° apart. They can be made about 0.3 to 1.0 mm wide.
FIG. 5 illustrates the short catheter of FIGS. 2 to 4 being divided by the application of lateral tensile force in the direction of the arrows. The short catheter is thereby readily torn longitudinally along the two strips 30 which are not fused strongly to the walls 28 because of the incompatibility of the two polymers.
The following examples are presented to further illustrate the invention.
Eighty parts by weight of polypropylene homopolymer in granular form having a density of 0.902 g/cm3 and a melting index MFI 230/5 of 7 g/10 min., and 20 parts by weight of a polyethylene homopolymer in granular form having a density of 0.920 g/cm3 and a melting index of MFI 190/2 of 6 g/10 min. are thoroughly mixed and melted in a screw extruder, extruded as a strand and then crushed in a granulator to small cylindrical granules.
From the granulate, a capillary tube having a 1.5 mm ID (inner diameter) and 2.0 OD (outer diameter) is extruded from the granules. A section of tube about 5 cm long is connected at one end to a catheter attachment having finger grips for longitudinally dividing it. The tensile strength of the tube-attachment connection, in the longitudinal direction, is at least 20 N. A puncturing metal tubule with tubule attachment is then inserted in the short catheter.
If the complete puncturing device is used as an auxiliary device for inserting a flexible catheter into the vein of a patient to be treated, the vein is punctured, the metal tubule is removed and a suitable flexible catheter is pushed forward through the short catheter left in place. As soon as the flexible catheter has been inserted, the short catheter surrounding the flexible catheter is slid back and removed. To remove the short catheter, the grips provided at the short catheter attachment are fitted between the thumb and the forefinger of each hand and pulled laterally thus tearing the tube lengthwise by further lateral pulling. The grips and the longitudinally severed tube can be completely removed from the flexible catheter in this way.
Ninety parts by weight of a polyethylene homopolymer in granular form having a density of 0.960 g/cm3 and a melting index of MFI 190/2 of 5 g/10 min., and 10 parts by weight of a polypropylene copolymer (copolymer with 2% ethylene as a co-monomer) having a density of 0.905 g/cm3 and a melting index of MFI 230/5 of 3.5 g/10 min., are mixed and melted in a screw extruder, extruded as a strand, and the strand then crushed in a granulator to cylinder granules.
A short catheter capillary tube having a 1.0 mm ID (inner diameter) and 1.45 mm OD (outer diameter) is extruded from the granules. A 4 cm long section of the tube is fitted at one end with an attachment having grips for longitudinally dividing the catheter by pulling it laterally and tearing it. The tensile strength of the tube-attachment connection in the longitudinal direction is at least 15 N without separation of the connection. The tube can be fitted with a metal puncturing tubule as described in Example 1 and it can be used as described in that example.
The foregoing detailed description has been given for clearness of understanding only, and no unnecessary limitations should be understood therefrom, as modifications will be obvious to those skilled in the art.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US2227682 *||Jan 25, 1939||Jan 7, 1941||Sylvania Ind Corp||Method of making striped pellicles|
|US3618614 *||May 6, 1969||Nov 9, 1971||Scient Tube Products Inc||Nontoxic radiopaque multiwall medical-surgical tubings|
|US3677243 *||Sep 24, 1971||Jul 18, 1972||Extracorporeal Med Spec||Separable surgical needle|
|US3877429 *||Nov 30, 1973||Apr 15, 1975||Rasumoff David L||Catheter placement device|
|US3963026 *||Nov 19, 1974||Jun 15, 1976||Pharmachem Corporation||Blood component storage bag and glycerolizing set therefor|
|US3993718 *||Jan 6, 1975||Nov 23, 1976||U.C.B., Societe Anonyme||Method of manufacturing an artificial paper|
|US4033357 *||Feb 17, 1976||Jul 5, 1977||Medtronic, Inc.||Non-fibrosing cardiac electrode|
|US4105732 *||Feb 25, 1977||Aug 8, 1978||Krandex Corp.||Radiographic opaque and conductive striped medical tubes|
|US4166469 *||Dec 13, 1977||Sep 4, 1979||Littleford Philip O||Apparatus and method for inserting an electrode|
|US4182582 *||Jan 17, 1977||Jan 8, 1980||A. T. Ramot Plastics Ltd.||Porous tubes and hollow profile structures and method of making same|
|US4225688 *||Nov 9, 1978||Sep 30, 1980||Baxter Travenol Laboratories, Inc.||Copolyester composition containing poly(ethylene cyclohexane dimethylene terephthalate), having superior solvent and impact resistance|
|US4306562 *||Jul 31, 1980||Dec 22, 1981||Cook, Inc.||Tear apart cannula|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US4581019 *||Apr 22, 1982||Apr 8, 1986||Curelaru Johan||Device for introducing a catheter-cannula into a blood vessel|
|US4596559 *||Nov 2, 1984||Jun 24, 1986||Fleischhacker John J||Break-away handle for a catheter introducer set|
|US4687469 *||May 31, 1985||Aug 18, 1987||Peter Osypka||Device for slitting introducers for pacemaker electrodes|
|US4747833 *||Oct 22, 1986||May 31, 1988||Terumo Kabushiki Kaisha||Medical instrument-guiding tube and assembly comprising the same|
|US4776846 *||Feb 6, 1987||Oct 11, 1988||Becton, Dickinson And Company||Splittable catheter composite material and process|
|US4781690 *||Mar 13, 1987||Nov 1, 1988||Terumo Kabushiki Kaisha||Guiding tube for medical instruments|
|US4828550 *||Mar 11, 1987||May 9, 1989||Sherwood Medical Company||Enteral feeding and suction tube assembly|
|US4830805 *||May 11, 1987||May 16, 1989||Terumo Kabushiki Kaisha||Molding a guiding tube for medical instruments|
|US4865593 *||Jun 23, 1988||Sep 12, 1989||Sherwood Medical Company||Splittable cannula|
|US4874374 *||Mar 28, 1989||Oct 17, 1989||Terumo Kabushiki Kaisha||Medical tool introduction cannula and method of manufacturing the same|
|US4883468 *||Apr 1, 1988||Nov 28, 1989||Terumo Kabushiki Kaisha||Medical tool introduction cannula and method of manufacturing the same|
|US4887997 *||Sep 12, 1988||Dec 19, 1989||Sherwood Medical Company||Catheter for nasogastric intubation|
|US4919605 *||Nov 9, 1988||Apr 24, 1990||Terumo Kabushiki Kaisha||Extrusion apparatus for molding guiding tube for medical instruments|
|US4952359 *||Aug 1, 1988||Aug 28, 1990||Becton, Dickinson And Company||Method for making splittable catheter|
|US4983168 *||Jan 5, 1989||Jan 8, 1991||Catheter Technology Corporation||Medical layered peel away sheath and methods|
|US5188605 *||May 8, 1991||Feb 23, 1993||Cordis Corporation||Separable insertion tool|
|US5304119 *||Jun 24, 1993||Apr 19, 1994||Monsanto Company||Instrument for injecting implants through animal hide|
|US5456674 *||Mar 30, 1994||Oct 10, 1995||Cordis Corporation||Catheters with variable properties|
|US5800414 *||Sep 5, 1997||Sep 1, 1998||Synthelabo||Catheter with flexible and elongate body|
|US6019753 *||Nov 9, 1998||Feb 1, 2000||Smiths Industries Public Limited Company||Catheter assemblies and inner cannulae|
|US6363273||Dec 22, 1999||Mar 26, 2002||Codman & Shurtleff, Inc.||Introducer element and method of using same|
|US6447540||Nov 14, 1997||Sep 10, 2002||Cook Incorporated||Stent deployment device including splittable sleeve containing the stent|
|US6712789||Jul 13, 2000||Mar 30, 2004||Medamicus, Inc.||Introducer having a movable valve assembly with removable side port|
|US7048719||Jun 7, 2002||May 23, 2006||Microvention, Inc.||Endovascular catheter resheathing apparatus and related methods|
|US7806847||Jul 14, 2005||Oct 5, 2010||Aqueous Biomedical, Inc.||C-shaped cross section tubular ophthalmic implant for reduction of intraocular pressure in glaucomatous eyes and method of use|
|US7824375 *||Nov 2, 2010||Pacesetter, Inc.||Slittable delivery device for the delivery of a cardiac surgical device|
|US8043263||Oct 25, 2011||Pacesetter, Inc.||Slittable delivery device assembly for the delivery of a cardiac surgical device|
|US8048034 *||Oct 20, 2010||Nov 1, 2011||Medronic, Inc.||Slittable and peelable sheaths and methods for making and using them|
|US8401673||Mar 19, 2013||Cardiac Pacemakers, Inc.||Inner and outer telescoping catheter delivery system and method|
|US8425450||Apr 23, 2013||Aqueous Biomedical, Inc.||C-shaped cross section tubular ophthalmic implant for reduction of intraocular pressure in glaucomatous eyes and method of use|
|US8517993 *||Apr 3, 2006||Aug 27, 2013||Medtronic, Inc.||Composite MR-compatible stylet|
|US8568466 *||Oct 7, 2011||Oct 29, 2013||Endologix, Inc.||Graft deployment system|
|US8728055 *||Jun 14, 2006||May 20, 2014||St. Jude Medical, Atrial Fibrillation Division, Inc.||Braided peelable sheath|
|US8753312||Mar 6, 2013||Jun 17, 2014||Cardiac Pacemakers, Inc.||Inner and outer telescoping catheter delivery system|
|US8795326||Oct 2, 2008||Aug 5, 2014||Covidien Lp||Expanding seal anchor for single incision surgery|
|US8926546||Apr 17, 2013||Jan 6, 2015||Aqueous Bomedical, Inc.||C-shaped cross section tubular ophthalmic implant for reduction of intraocular pressure in glaucomatous eyes and method of use|
|US8992506||Dec 10, 2009||Mar 31, 2015||MircoVention, Inc.||Microcatheter|
|US20030191489 *||Apr 10, 2003||Oct 9, 2003||Kyphon Inc.||Inflatable device for use in surgical protocol relating to fixation of bone|
|US20040176744 *||Mar 18, 2004||Sep 9, 2004||Medamicus, Inc.||Introducer having a movable valve assembly with removable side port|
|US20050261624 *||Jul 14, 2005||Nov 24, 2005||Wilcox Michael J|
|US20060235355 *||Apr 3, 2006||Oct 19, 2006||Freas Mark S||Composite mr-compatible stylet|
|US20090043285 *||Jun 14, 2005||Feb 12, 2009||Stehr Richard E||Braided Peelable Sheath|
|US20090078270 *||Sep 26, 2007||Mar 26, 2009||Ethicon, Inc.||Removable implant and implantation tool for male contraception|
|US20090082754 *||Sep 26, 2007||Mar 26, 2009||Ethicon, Inc.||Cannula implantation instrument|
|US20090118700 *||Nov 7, 2007||May 7, 2009||Callas Peter L||Method for treating coronary vessels|
|US20100094225 *||Oct 9, 2008||Apr 15, 2010||Pacesetter, Inc.||Slittable delivery device for the delivery of a cardiac surgical device|
|US20100094226 *||Mar 25, 2009||Apr 15, 2010||Pacesetter, Inc.||Slittable delivery device assembly for the delivery of a cardiac surgical device|
|US20100114114 *||Jan 11, 2010||May 6, 2010||Bruce Tockman||Coronary vein navigator|
|US20100160899 *||Dec 10, 2009||Jun 24, 2010||Microvention, Inc.||Microcatheter|
|US20110034876 *||Oct 20, 2010||Feb 10, 2011||Medtronic, Inc.||Slittable and Peelable Sheaths and Methods for Making and Using Them|
|US20110098627 *||Sep 8, 2010||Apr 28, 2011||Aqueous Biomedical, Inc.||C-Shaped Cross Section Tubular Ophthalmic Implant for Reduction of Intraocular Pressure in Glaucomatous Eyes and Method of Use|
|US20110137293 *||Aug 13, 2009||Jun 9, 2011||The Asan Foundation||Distal part guiding catheter|
|US20120029610 *||Feb 2, 2012||Endologix, Inc.||Graft deployment system|
|US20140163532 *||Nov 18, 2013||Jun 12, 2014||Kci Licensing, Inc.||Adaptable wound drainage system|
|US20140336581 *||Oct 19, 2012||Nov 13, 2014||B. Braun Medical Sas||Catheter with removable cannula for puncturing a body cavity and cannula for the use with a catheter which can be moved in the cannula|
|EP0227907A2 *||Oct 24, 1986||Jul 8, 1987||TERUMO KABUSHIKI KAISHA trading as TERUMO CORPORATION||Medical instrument-guiding tube and assembly comprising the same|
|EP0242051A1 *||Mar 11, 1987||Oct 21, 1987||Sherwood Medical Company||Enteral feeding tube assembly and suction tube therefor|
|EP1037352A1 *||Mar 9, 2000||Sep 20, 2000||Cables Pirelli||Support for shrinkable sleeve for electrical cable connection and connection device|
|WO1991014473A1 *||Mar 19, 1990||Oct 3, 1991||Taut, Incorporated||Injection molding of a thin-walled elongated tubular product such as a catheter|
|WO2000015289A1 *||Sep 14, 1999||Mar 23, 2000||Becton, Dickinson And Company||Splittable catheter|
|WO2006015323A2 *||Jul 29, 2005||Feb 9, 2006||Wilson-Cook Medical Inc.||Catheter with splittable wall shaft and peel tool|
|WO2006015323A3 *||Jul 29, 2005||Apr 27, 2006||Matthew P Carter||Catheter with splittable wall shaft and peel tool|
|WO2006084603A1 *||Jan 31, 2006||Aug 17, 2006||Innoventus Project Ab||Drainage catheter|
|U.S. Classification||604/523, 604/164.05, 525/931|
|International Classification||A61M25/00, A61M25/08, A61M25/06, A61L29/00, A61L29/04|
|Cooperative Classification||Y10S525/931, A61M25/0668, C08L23/12, C08L23/142, C08L23/06, A61M25/0009, A61L29/049|
|European Classification||A61L29/04M, C08L23/12, C08L23/06, A61M25/00G, A61M25/06H1|
|Aug 7, 1989||AS||Assignment|
Owner name: B. BRAUN-SSC AG, SWITZERLAND
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:INTERMEDICAT GMBH;REEL/FRAME:005137/0226
Effective date: 19880316